DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROF. TINA DEAN WAILGUM

Active Sole Proprietor

PROF. TINA DEAN WAILGUM is a Athletic Trainer healthcare provider located in COLLEGEVILLE, Pennsylvania. NPI 1225150360 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · COLLEGEVILLE, PA

Registration Details

NPI Number
1225150360
Provider Type
Individual
Gender
Female
NPI Issued
Apr 6, 2007 (19.315023076444 yrs)
Last Updated
Jul 8, 2007
License
RT000191A (PA)
Sole Proprietor
Yes

Practice Information

Address
601 MAIN ST.
COLLEGEVILLE, PA, 194261000
Browse PA providers · Browse ZIP 19426
Phone
6104093000
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in COLLEGEVILLE, PA

Name Credential NPI
MR. ROBERT JAMES LABELLE MBA, ATC 1902861040
MICHELLE NICOLE VANDE BERG MS, A.T.,C., CSCS 1124159074
MISS KATHLENE WRIGHT ATC 1932315140
MS. PAMELA SUE CHLAD ATC,RN. 1164632634
MRS. MICHELLE RENEE DEVAN ATC 1851585061
MR. COLIN DIXON MS, ATC 1972889418
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.